INPATIENT APRDRG 2814: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$10,641.15
|
|
Service Code
|
APR-DRG 2814
|
Hospital Charge Code |
APRDRG 2814
|
Min. Negotiated Rate |
$10,134.43 |
Max. Negotiated Rate |
$10,641.15 |
Rate for Payer: BCBS Complete |
$10,641.15
|
Rate for Payer: Mclaren Medicaid |
$10,134.43
|
Rate for Payer: Meridian Medicaid |
$10,641.15
|
Rate for Payer: Priority Health Choice Medicaid |
$10,134.43
|
|
INPATIENT APRDRG 2821: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,263.01
|
|
Service Code
|
APR-DRG 2821
|
Hospital Charge Code |
APRDRG 2821
|
Min. Negotiated Rate |
$3,107.63 |
Max. Negotiated Rate |
$3,263.01 |
Rate for Payer: BCBS Complete |
$3,263.01
|
Rate for Payer: Mclaren Medicaid |
$3,107.63
|
Rate for Payer: Meridian Medicaid |
$3,263.01
|
Rate for Payer: Priority Health Choice Medicaid |
$3,107.63
|
|
INPATIENT APRDRG 2822: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,277.85
|
|
Service Code
|
APR-DRG 2822
|
Hospital Charge Code |
APRDRG 2822
|
Min. Negotiated Rate |
$4,074.14 |
Max. Negotiated Rate |
$4,277.85 |
Rate for Payer: BCBS Complete |
$4,277.85
|
Rate for Payer: Mclaren Medicaid |
$4,074.14
|
Rate for Payer: Meridian Medicaid |
$4,277.85
|
Rate for Payer: Priority Health Choice Medicaid |
$4,074.14
|
|
INPATIENT APRDRG 2823: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$6,189.66
|
|
Service Code
|
APR-DRG 2823
|
Hospital Charge Code |
APRDRG 2823
|
Min. Negotiated Rate |
$5,894.91 |
Max. Negotiated Rate |
$6,189.66 |
Rate for Payer: BCBS Complete |
$6,189.66
|
Rate for Payer: Mclaren Medicaid |
$5,894.91
|
Rate for Payer: Meridian Medicaid |
$6,189.66
|
Rate for Payer: Priority Health Choice Medicaid |
$5,894.91
|
|
INPATIENT APRDRG 2824: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$13,793.20
|
|
Service Code
|
APR-DRG 2824
|
Hospital Charge Code |
APRDRG 2824
|
Min. Negotiated Rate |
$13,136.38 |
Max. Negotiated Rate |
$13,793.20 |
Rate for Payer: BCBS Complete |
$13,793.20
|
Rate for Payer: Mclaren Medicaid |
$13,136.38
|
Rate for Payer: Meridian Medicaid |
$13,793.20
|
Rate for Payer: Priority Health Choice Medicaid |
$13,136.38
|
|
INPATIENT APRDRG 2831: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$2,855.35
|
|
Service Code
|
APR-DRG 2831
|
Hospital Charge Code |
APRDRG 2831
|
Min. Negotiated Rate |
$2,719.38 |
Max. Negotiated Rate |
$2,855.35 |
Rate for Payer: BCBS Complete |
$2,855.35
|
Rate for Payer: Mclaren Medicaid |
$2,719.38
|
Rate for Payer: Meridian Medicaid |
$2,855.35
|
Rate for Payer: Priority Health Choice Medicaid |
$2,719.38
|
|
INPATIENT APRDRG 2832: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$4,078.90
|
|
Service Code
|
APR-DRG 2832
|
Hospital Charge Code |
APRDRG 2832
|
Min. Negotiated Rate |
$3,884.67 |
Max. Negotiated Rate |
$4,078.90 |
Rate for Payer: BCBS Complete |
$4,078.90
|
Rate for Payer: Mclaren Medicaid |
$3,884.67
|
Rate for Payer: Meridian Medicaid |
$4,078.90
|
Rate for Payer: Priority Health Choice Medicaid |
$3,884.67
|
|
INPATIENT APRDRG 2833: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$6,065.46
|
|
Service Code
|
APR-DRG 2833
|
Hospital Charge Code |
APRDRG 2833
|
Min. Negotiated Rate |
$5,776.63 |
Max. Negotiated Rate |
$6,065.46 |
Rate for Payer: BCBS Complete |
$6,065.46
|
Rate for Payer: Mclaren Medicaid |
$5,776.63
|
Rate for Payer: Meridian Medicaid |
$6,065.46
|
Rate for Payer: Priority Health Choice Medicaid |
$5,776.63
|
|
INPATIENT APRDRG 2834: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$10,392.19
|
|
Service Code
|
APR-DRG 2834
|
Hospital Charge Code |
APRDRG 2834
|
Min. Negotiated Rate |
$9,897.32 |
Max. Negotiated Rate |
$10,392.19 |
Rate for Payer: BCBS Complete |
$10,392.19
|
Rate for Payer: Mclaren Medicaid |
$9,897.32
|
Rate for Payer: Meridian Medicaid |
$10,392.19
|
Rate for Payer: Priority Health Choice Medicaid |
$9,897.32
|
|
INPATIENT APRDRG 2841: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$4,416.99
|
|
Service Code
|
APR-DRG 2841
|
Hospital Charge Code |
APRDRG 2841
|
Min. Negotiated Rate |
$4,206.66 |
Max. Negotiated Rate |
$4,416.99 |
Rate for Payer: BCBS Complete |
$4,416.99
|
Rate for Payer: Mclaren Medicaid |
$4,206.66
|
Rate for Payer: Meridian Medicaid |
$4,416.99
|
Rate for Payer: Priority Health Choice Medicaid |
$4,206.66
|
|
INPATIENT APRDRG 2842: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$5,346.74
|
|
Service Code
|
APR-DRG 2842
|
Hospital Charge Code |
APRDRG 2842
|
Min. Negotiated Rate |
$5,092.13 |
Max. Negotiated Rate |
$5,346.74 |
Rate for Payer: BCBS Complete |
$5,346.74
|
Rate for Payer: Mclaren Medicaid |
$5,092.13
|
Rate for Payer: Meridian Medicaid |
$5,346.74
|
Rate for Payer: Priority Health Choice Medicaid |
$5,092.13
|
|
INPATIENT APRDRG 2843: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$6,953.80
|
|
Service Code
|
APR-DRG 2843
|
Hospital Charge Code |
APRDRG 2843
|
Min. Negotiated Rate |
$6,622.67 |
Max. Negotiated Rate |
$6,953.80 |
Rate for Payer: BCBS Complete |
$6,953.80
|
Rate for Payer: Mclaren Medicaid |
$6,622.67
|
Rate for Payer: Meridian Medicaid |
$6,953.80
|
Rate for Payer: Priority Health Choice Medicaid |
$6,622.67
|
|
INPATIENT APRDRG 2844: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$9,852.85
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG 2844
|
Min. Negotiated Rate |
$9,383.67 |
Max. Negotiated Rate |
$9,852.85 |
Rate for Payer: BCBS Complete |
$9,852.85
|
Rate for Payer: Mclaren Medicaid |
$9,383.67
|
Rate for Payer: Meridian Medicaid |
$9,852.85
|
Rate for Payer: Priority Health Choice Medicaid |
$9,383.67
|
|
INPATIENT APRDRG 3031: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$27,103.41
|
|
Service Code
|
APR-DRG 3031
|
Hospital Charge Code |
APRDRG 3031
|
Min. Negotiated Rate |
$25,812.77 |
Max. Negotiated Rate |
$27,103.41 |
Rate for Payer: BCBS Complete |
$27,103.41
|
Rate for Payer: Mclaren Medicaid |
$25,812.77
|
Rate for Payer: Meridian Medicaid |
$27,103.41
|
Rate for Payer: Priority Health Choice Medicaid |
$25,812.77
|
|
INPATIENT APRDRG 3032: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$29,431.50
|
|
Service Code
|
APR-DRG 3032
|
Hospital Charge Code |
APRDRG 3032
|
Min. Negotiated Rate |
$28,030.00 |
Max. Negotiated Rate |
$29,431.50 |
Rate for Payer: BCBS Complete |
$29,431.50
|
Rate for Payer: Mclaren Medicaid |
$28,030.00
|
Rate for Payer: Meridian Medicaid |
$29,431.50
|
Rate for Payer: Priority Health Choice Medicaid |
$28,030.00
|
|
INPATIENT APRDRG 3033: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$45,632.14
|
|
Service Code
|
APR-DRG 3033
|
Hospital Charge Code |
APRDRG 3033
|
Min. Negotiated Rate |
$43,459.18 |
Max. Negotiated Rate |
$45,632.14 |
Rate for Payer: BCBS Complete |
$45,632.14
|
Rate for Payer: Mclaren Medicaid |
$43,459.18
|
Rate for Payer: Meridian Medicaid |
$45,632.14
|
Rate for Payer: Priority Health Choice Medicaid |
$43,459.18
|
|
INPATIENT APRDRG 3034: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$67,031.75
|
|
Service Code
|
APR-DRG 3034
|
Hospital Charge Code |
APRDRG 3034
|
Min. Negotiated Rate |
$63,839.76 |
Max. Negotiated Rate |
$67,031.75 |
Rate for Payer: BCBS Complete |
$67,031.75
|
Rate for Payer: Mclaren Medicaid |
$63,839.76
|
Rate for Payer: Meridian Medicaid |
$67,031.75
|
Rate for Payer: Priority Health Choice Medicaid |
$63,839.76
|
|
INPATIENT APRDRG 3041: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$14,600.47
|
|
Service Code
|
APR-DRG 3041
|
Hospital Charge Code |
APRDRG 3041
|
Min. Negotiated Rate |
$13,905.21 |
Max. Negotiated Rate |
$14,600.47 |
Rate for Payer: BCBS Complete |
$14,600.47
|
Rate for Payer: Mclaren Medicaid |
$13,905.21
|
Rate for Payer: Meridian Medicaid |
$14,600.47
|
Rate for Payer: Priority Health Choice Medicaid |
$13,905.21
|
|
INPATIENT APRDRG 3042: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$16,965.93
|
|
Service Code
|
APR-DRG 3042
|
Hospital Charge Code |
APRDRG 3042
|
Min. Negotiated Rate |
$16,158.03 |
Max. Negotiated Rate |
$16,965.93 |
Rate for Payer: BCBS Complete |
$16,965.93
|
Rate for Payer: Mclaren Medicaid |
$16,158.03
|
Rate for Payer: Meridian Medicaid |
$16,965.93
|
Rate for Payer: Priority Health Choice Medicaid |
$16,158.03
|
|
INPATIENT APRDRG 3043: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$25,974.14
|
|
Service Code
|
APR-DRG 3043
|
Hospital Charge Code |
APRDRG 3043
|
Min. Negotiated Rate |
$24,737.28 |
Max. Negotiated Rate |
$25,974.14 |
Rate for Payer: BCBS Complete |
$25,974.14
|
Rate for Payer: Mclaren Medicaid |
$24,737.28
|
Rate for Payer: Meridian Medicaid |
$25,974.14
|
Rate for Payer: Priority Health Choice Medicaid |
$24,737.28
|
|
INPATIENT APRDRG 3044: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$36,986.17
|
|
Service Code
|
APR-DRG 3044
|
Hospital Charge Code |
APRDRG 3044
|
Min. Negotiated Rate |
$35,224.92 |
Max. Negotiated Rate |
$36,986.17 |
Rate for Payer: BCBS Complete |
$36,986.17
|
Rate for Payer: Mclaren Medicaid |
$35,224.92
|
Rate for Payer: Meridian Medicaid |
$36,986.17
|
Rate for Payer: Priority Health Choice Medicaid |
$35,224.92
|
|
INPATIENT APRDRG 3051: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$8,376.88
|
|
Service Code
|
APR-DRG 3051
|
Hospital Charge Code |
APRDRG 3051
|
Min. Negotiated Rate |
$7,977.98 |
Max. Negotiated Rate |
$8,376.88 |
Rate for Payer: BCBS Complete |
$8,376.88
|
Rate for Payer: Mclaren Medicaid |
$7,977.98
|
Rate for Payer: Meridian Medicaid |
$8,376.88
|
Rate for Payer: Priority Health Choice Medicaid |
$7,977.98
|
|
INPATIENT APRDRG 3052: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$9,331.35
|
|
Service Code
|
APR-DRG 3052
|
Hospital Charge Code |
APRDRG 3052
|
Min. Negotiated Rate |
$8,887.00 |
Max. Negotiated Rate |
$9,331.35 |
Rate for Payer: BCBS Complete |
$9,331.35
|
Rate for Payer: Mclaren Medicaid |
$8,887.00
|
Rate for Payer: Meridian Medicaid |
$9,331.35
|
Rate for Payer: Priority Health Choice Medicaid |
$8,887.00
|
|
INPATIENT APRDRG 3053: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$14,221.56
|
|
Service Code
|
APR-DRG 3053
|
Hospital Charge Code |
APRDRG 3053
|
Min. Negotiated Rate |
$13,544.34 |
Max. Negotiated Rate |
$14,221.56 |
Rate for Payer: BCBS Complete |
$14,221.56
|
Rate for Payer: Mclaren Medicaid |
$13,544.34
|
Rate for Payer: Meridian Medicaid |
$14,221.56
|
Rate for Payer: Priority Health Choice Medicaid |
$13,544.34
|
|
INPATIENT APRDRG 3054: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$21,372.58
|
|
Service Code
|
APR-DRG 3054
|
Hospital Charge Code |
APRDRG 3054
|
Min. Negotiated Rate |
$20,354.84 |
Max. Negotiated Rate |
$21,372.58 |
Rate for Payer: BCBS Complete |
$21,372.58
|
Rate for Payer: Mclaren Medicaid |
$20,354.84
|
Rate for Payer: Meridian Medicaid |
$21,372.58
|
Rate for Payer: Priority Health Choice Medicaid |
$20,354.84
|
|